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MSSPA4832 · PY2024 · serves 1 state
SSM IL ACO, LLC
★★★☆☆
quality 77/100 (XSPAN star)
Lives (aligned)
5,471
CMS revenue (total spend)
$79.3M
Benchmark
$84M
Shared savings earned
$2.3M
paid to the ACO by CMS (PY2024)
Savings generated
$4.7M
gross vs benchmark
Per-capita spend
$14,875
Acute admits /1k
330
ED visits /1k
947
30-day readmit rate
15.3%
Service area ILOperator Mark Webber
Shared savings you retain / yr
$3.1M
3.9% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.6M
2.0% of CMS revenue
Combined XSpan impact / yr
$4.7M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.8M/yr.
Avoidable acute admits reduced15%
$3M/yr
30-day readmissions reduced20%
on 15.3% measured rate$714.1K/yr
ED visits deflected10%
$656.1K/yr
SNF admits reduced8%
$466.1K/yr
ED cost per visit$1,300
2 · How MSSP pays you
FFS shared savings + separately-billable care-management codes.
Shared-savings rate you keep55%
BASIC 40% → ENHANCED 75%$2.6M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$480.1K/yr
Care-management codes
$830.3K
Enrollment (of eligible)30%
$/member/month$62
~1,116 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$759.9K
Enrollment (of eligible)25%
$/member/month$91
~684 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
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CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.
Part of a 2-ACO family run by Mark Webber
combined: 20,759 lives · $11M earned · 2 states
CMS reports each ACO separately by legal entity. This operator's Medicare-FFS footprint spans the ACOs below — Medicare Advantage / commercial lives are not in the CMS PUFs and are not shown.